Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth David Roach, LCMHC

Individual provider Mental Health Counselor · NPI 1619189628

Dr. Kenneth David Roach, LCMHC is a Mental Health Counselor in Salt Lake City, Utah. Graduated from University of Utah School of Medicine in 1999, 27 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
27
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

4190 S Highland Dr Ste 210
Salt Lake City, UT 84124-2674
Phone: (801) 792-7028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 451 E 1000 S Ste B, Pleasant Grove, UT 84062-3735 — (801) 792-7028

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4909154-6004 (UT)
Mental Health Counselor Taxonomy 101YM0800X · Licence 4909154-6004 (UT)

Record details

NPI number1619189628
Entity typeIndividual (Type 1)
GenderMale
Credentials LCMHC
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESOctober 10, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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